Special Edition - CMS released the preliminary PDPM final rule on Medicare’s birthday, July 30th

54 years ago President Lyndon B. Johnson signed Medicare into law. The final rule will be published in the Federal Register on August 7th, 2019 with an effective date of Oct 1, 2019 for our new PDPM model.



The final rule hits on three major provisions:

1. SNF payment policy under the new PPS – PDPM

  • MBI of 2.4% (2.8% with the .4% MFP adjustment)

  • Updated Urban and Rural Unadjusted base rate for PDPM

Urban: PT $60.75 OT $56.55 SLP $22.68 Nursing $105.92 NTA $79.91

Non Case Mix $94.84

Rural: PT $69.25 OT $63.60 SLP $28.57 Nursing $101.20 NTA $76.34

Non Case Mix $96.59

  • Table 6 and 7 have the updated Case Mix Index’ per Case Mix Group (attached) – we are in the process of updating our materials accordingly

2. SNF Value Based Purchasing – VBP

3. SNF Quality Reporting Program – QRP


Let's Get to the Point:

CMS released the preliminary PDPM final rule on Medicare’s birthday, July 30th